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Introduction: Women often complain of menstrual pain before or during menstruation, this pain often interferes with daily activities. An alternative to drinking green tea is considered to have the highest levels of polyphenols which can reduce pain. This study aimed prove the therapeutic effect of giving green tea water on reducing the scale of menstrual pain. Methods: The research was conducted on students of Program Studi Keperawatan Politeknik Negeri Subang  with a quasi-experimental research design with a pre-post test design with control group. Sampling used a stratified random sampling with a total of 40 students. This research uses a research instrument in the form of a BPI (Brief Pain Inventory) questionnaire sheet. tested the independent t-test. Results: The results of this study showed that the mean menstrual pain scale in the intervention group before the green tea water therapy was 4.92 and the control group was 4.81, the average menstrual pain scale in the intervention group after the green tea water therapy was 1.25 and the control group was 3.56. Conclusions: Data analysis obtained a p value of 0.001 (< 0.05) which shows that there is a therapeutic effect of giving green tea water on reducing the scale of menstrual pain. Green tea water at a dose of 2.4 grams / 200 ml can reduce menstrual pain and is recommended for women who experience mild to moderate pain.    

Background: Dysmenorrhea pain is lower abdominal pain that can spread the lower back, waist, pervis, caused contractions uterine muscles when blood released from the uterus, causing the muscles highten and causing pain and cramps. The incidence rate in Indonesia 64,25% divided  primary dysmenorrhea 54,89% and secondary dysmenorrhea 9,36%. Warm compresses have the body’s  response heat which causes dilation of blood vassels wich improves blood circulation. Deep breathing relaxation through breathing exercises stimulates  body form  pain suppression system, wich ultimately can reduce pain intensity. Objective : Describe the results before and after administering warm electric compresses and deep breathing relaxation on the level of dysmenorrhea pain. Method: Case study method by observing pain levels and using the Numeric Rating Scale (NRS) measuring scale. Results: There was reduction  dysmenorrhea pain both respondents after giving warm compresses electric and deep breathing relaxtion to Nn. R  a scale of 6 to 4 and Nn. A a scale of 8 to 5. Conslusion: Applying warm compresses and deep breathing relaxation  young women with dysmenorrhea pain can reduce the level of pain.

Low Back Pain (LBP) is a complaint characterized by pain or discomfort felt in the lower back, which may radiate to the legs, either the right or left leg. Prolonged sitting can cause tension in the lower back muscles, eventually leading to pain. This activity aims to educate the batik artisan community on self-care methods to manage low back pain and correct sitting positions while working as batik artisans. The target of this activity is the batik artisans in Dusun 1 and Dusun 6 of Tanjung Anom Village. The method used in this program involved students conducting direct field observations, engaging in dialogue, and interviewing batik artisans using screening forms with a sample size of 20 artisans. The results showed that the majority of batik artisans in Dusun 1, Tanjung Anom Village, complained of low back pain. The conclusion of this activity is that a monotonous working position significantly affects the incidence of low back pain, especially among batik artisans.    

Background : An elderly person is someone over 60 years old who experiences changes, one of which is changes in musculoskeletal disorders. Joint pain is a symptom that disturbs the joints due to reduced synovial fluid so that the bones rub against the lining between the joints. Joint pain sufferers in Indonesia reach 81% of the 80 million elderly.  Treatment for joint pain is done with non-pharmacological treatment, one of which can be done with non-pharmacological therapy is Elderly Gymnastics. Objective : To determine changes in the pain scale in the elderly before and after doing elderly exercise. Method : This research is a case study research using descriptive methods, namely by interviewing 2 (two) elderly respondents who experienced joint pain before and after implementing elderly exercise 3 times a week every morning. The instrument used was the Numerical Rating Scale (NRS) to measure delivery pain. Results : Before doing elderly exercise, both respondents experienced right and left knee pain on a scale of 4 (moderate pain) and scale 1 (mild pain). After doing elderly exercise for both respondents, there was a decrease in the pain scale with a scale of 1 (mild pain). Conclusion : This application shows that after implementing elderly exercise for both respondents, there was a reduction in joint pain in the elderly.  

Background: The elderly are more likely to suffer from gout with symptoms of pain and swelling in the joints.  Pain that is not handled properly can trigger a prolonged stress response, which will reduce the body's resistance. One non-pharmacological therapy that can be given to gout sufferers is a warm compress from Moringa leaves.  Warm compresses from Moringa leaves are a technique for applying compresses to joint areas that experience pain due to gout.  Objective: To determine the results of differences in pain intensity before and after applying a warm Moringa leaf compress to Lanisa.  Method: This research used a descriptive research design with a case study approach on 2 respondents in Pucangsawit Village, Jebres, Surakarta who experienced joint pain due to gout, carried out once every morning for 3 consecutive days within 20 minutes.  Results: there was a decrease in the intensity of gout pain after giving therapy to Mrs.  Y from a pain scale of 6 to a pain scale of 3 and in Mrs.  M from a pain scale of 5 to a pain scale of 2. Conclusion: the application showed that after applying a warm compress on Moringa leaves there was a change in the intensity of pain in both respondents.

One of the health problems involving school-aged children is musculoskeletal complaints which are thought to be caused by using backpacks that are too heavy. School bags are used as containers for books and other school equipment to be taken to school. The current trend is that schools often give homework, assignments and extra-curricular activities which have an impact on the amount of material that school students have to bring. Objective: To determine the differences in levels of neck pain when using backpacks in children aged 10 - 12 years among students at SDN Barusari 01 Semarang in terms of gender. The sample in this study consisted of 52 children. Research Method: backpack use questionnaire and REBA (Rapid Entire Body Assessment) observation sheet. This research uses bivariate analysis, namely the Chi-Square test. The results showed that, of the 52 students, 26 students (68.2%) complained of mild pain and 18 students complained of moderate pain (21.7%) and 8 students did not complain of pain (10.10%). There is a relationship between backpack use and complaints of shoulder pain with a P value of 0.011 (P<0.05). Conclusion: There is a relationship between the use of backpacks and complaints of shoulder pain in students at Sdn Barusari 01 Semarang. Suggestion: Awareness of paying attention to the load or weight of backpacks at school is important to implement as a preventive measure to reduce the incidence of complaints of shoulder pain in school-aged children.

Osteoarthritis is often found in the elderly which is characterized by damage to the cartilage located in the joints caused by mechanical or biochemical stress on the body. Most osteoarthritis is found in the knee joint with complaints of pain and decreased range of motion. Its management can be carried out with non-pharmacological therapy, namely stretching exercise therapy. The purpose of this study was to determine the effect of stretching exercise therapy on decreasing the pain scale and increasing the range of motion of the knee joint in osteoarthritis patients. This study used a pre-experimental design with a one group pre-post test approach, a sample of 30 patients was obtained by total sampling technique. The instrument in this study was the verbal descriptor scale (VDS) pain scale observation sheet. Data analysis used the Wilcoxon signed rank test. The results of the study before stretching exercise therapy showed that the knee joint pain scale in osteoarthritis patients averaged 4.50 and after stretching exercise therapy the knee joint pain scale decreased to 1.93. And the Wilcoxon signed rank test obtained a significance value of p = 0.000 (p <0.05) which means that there is an effect of stretching exercise therapy on reducing the knee joint pain scale in osteoarthritis patients. Stretching exercise therapy is able to optimally increase muscle flexibility and range of joint motion so that it can have the effect of reducing or eliminating joint pain.

During menstruation one of the most common complaints experienced by adolescents during menstruation caused by severe contractions of the uterine muscles is called dysmenorrhea. Almost all teenage daughters experience menstrual pain with levels of pain ranging from mild to severe. The absence of teenagers at school is one of the consequences of dysmenorrhea. Abdominal Stretching Exercise is an alternative non-pharmacological therapy option that can reduce dysmenorrhea. During exercise, there will be an increase in the levels of endorphins produced in the brain and also in the spinal cord nerve structure. To find out the impact of abdominal stretching exercises on decreased dysmenorrhea in teenage girls. This type of research is pre-experimental with the design of one group pretest posttest with a sample of 26 respondents. The research tools used in this data collection are the numeric rating scale questionnaire sheet and the observation sheet. The abdominal stretching exercise is performed on the first day of menstruation twice with a duration of 15 minutes. Data analysis using the Wilcoxon test. Before performing abdominal stretching exercises some respondents experienced severe to moderate pain. The Wilcoxon test results showed an Asymp. Sig. (2-tailed) value of <0.05 which means there is an effect of Abdominal Stretching Exercise on Dismenorean Pain Reduction in Teenage Girls. The abdominal stretching exercises have an effect on dismenoreal pain reduction in teenage girls.

Sectio caesarea is an artificial birth that is carried out by making an incision in the abdominal wall and uterine wall. After a caesarean section operation, the mother will feel pain and have an impact that will limit the mother's mobility. One way of non-pharmacological management to reduce post-cesarean section pain is by doing endorphin massage. To determine the results of the implementation of endorphin massage on the level of pain in post partum mothers with a history of caesarean section delivery in the Cempaka ward of RSUD dr. Soehadi Prijonegoro Sragen. This research is a descriptive study in the form of a case study which was carried out on 2 respondents who were mothers post caesarean section by doing endorphin massage for 3 consecutive days with a frequency of 1x a day for 20 minutes. The assessment of the pain scale for the two mothers post sectio caesarea on the first day was on a moderate pain scale and on the third day after implementing endorphin massage, the respondents' pain scale decreased to a mild pain scale. There was a decrease in pain levels before and after endorphin massage was given to mothers post caesarean section in the Cempaka RSUD dr Soehadi Prijonegoro Sragen.

The third trimester of pregnancy is the final trimester of pregnancy, in this period the fetus grows within a period of 29-40 weeks, where this period is the time to prepare for childbirth. During the pregnancy process, physical and psychological changes will occur. Physical changes can cause discomfort such as pain in the symphysis pubis. Pubic symphysis pain occurs because during pregnancy there will be an increase in the height of the uterine fundus. Efforts to alleviate pubic symphysis pain include warm compresses and peppermint aromatherapy. This study aims to determine the effect of warm compresses and peppermint aromatherapy on pubic symphysis pain in third trimester pregnant women. This is a quantitative study with a quasi-experimental design using approach one group pretest-posttest design without control group. The total sample consisted of 66 third trimester pregnant women, selected using a purposive sampling technique. The Wilcoxon test results showed a significant effect of warm compresses and peppermint aromatherapy on reducing pubic symphysis pain, with a p-value of 0.000 (≤ 0.05). Warm compresses and peppermint aromatherapy can be used as nursing interventions to reduce pubic symphysis pain in third trimester pregnant women.

A fracture is an interrupted occurrence of bone continuity determined by the type and extent of the injury. One of his treatments is Open Reduction and Internal Fixation (ORIF). A common problem in post-operative patients is pain, so it requires non-pharmacological implementation of one of which is compressed ice gel pack. To find out the results of ice gel pack compression therapy in post-operative patients. The application was performed with a descriptive method of case study to 2 respondents with a diagnosis of fracture and performed the operation Open Reduction and Internal Fixation (ORIF) performed 6 hours after the operation for 1x within 10-15 minutes. Based on the results of the application already performed there was a decrease in the intensity of pain in postoperative patients. ice gel pack compression therapy can be used as one of the non-pharmacological techniques or independent intervention in post-operative patients in particular on the action Open Reduction and Internal Fixation (ORIF)

Lower back pain is a common complaint among pregnant women in the third trimester. It is estimated that approximately 70% of pregnant women experience some form of back pain during pregnancy, childbirth, or postpartum. Non-pharmacological therapies such as deep breathing relaxation techniques and effleurage massage therapy can effectively reduce pain levels in these women. This study employs a quantitative approach using a quasi-experimental research method and employs purposive sampling with a sample size of 37 participants. Data analysis includes both univariate and bivariate analyses. Most respondents (64.9%) were aged between 20 and 35 years old. Additionally, the majority (64.9%) were experiencing their first pregnancy. All respondents (100%) were confirmed to have no comorbidities. Furthermore, 73% of the participants had tertiary education (Diploma, Bachelor's, Master's, or Doctorate degrees), and 62.2% continued working during pregnancy. The results of the Wilcoxon test indicated a significant effect (p = 0.000 < 0.05), confirming that effleurage massage and deep breathing relaxation techniques effectively reduce lower back pain in pregnant women. This reduction is attributed to the stimulation of tactile fibers in the skin by effleurage massage, which inhibits pain signals. In conclusion, the findings suggest that implementing effleurage massage and deep breathing relaxation techniques is beneficial for alleviating lower back pain in pregnant women. Public health advice advocates for the application of these techniques to manage such pain effectively.

Pregnancy is a very important experience for a woman. Based on the journal Of Midwifery issued in 2020, it is stated that lower back pain is the most common complaint in the third trimester of pregnancy. Predisposing factors for back pain include uterine growth which causes changes in posture, weight gain, the influence of the relaxin hormone on ligaments, previous history of back pain, parity and activity. Research Objective: to determine the effect of progressive muscle relaxation on lower back pain in third trimester pregnant women at the Malifut Community Health Center. This type of research is experimental research involving one group of subjects with a pre-experimental approach, one group pretest posttest design. The respondents for this research were 30 people. Purposive sampling technique. Results: This study showed that 30 respondents who had not been treated with progressive muscle relaxation techniques experienced moderate pain as many as 18 people (60%) and experienced mild pain as many as 12 people (40%). Shows that 30 people (100%) experienced a reduction in pain. The results after it was discovered that the Wilcoxon test was carried out above the P value = 0.000 (< 0.05) so that there was a significant difference between lower back pain before the relaxation intervention was given. Advice for pregnant women who experience levels of pain is to carry out progressive muscle relaxation to reduce the level of lower back pain  

Low back pain is one of the diseases that contributes greatly to disability. The World Health Organization (WHO) states that the incidence of low back pain is 619 million people throughout the world and is expected to increase to 843 million cases in 2050. One of the interventions that supports this is Mc Kenzie Exercise therapy to treat lower back pain. The aim of this research was to determine the effect of the Mc Kenzie Exercise on the level of lower back pain in batik craftsmen. This research method is a type of Pre-Experimental research with a One-Group Pre Test-Post Test Design. Using a sampling technique in the form of non-probability sampling, namely the purposive sampling method. Sample of 15 batik craftsmen. Mc Kenzie Exercise is done 8x for 4 weeks. Data analysis used was the Wilcoxon sign rank test. The results of this research, before the intervention was carried out, most batik craftsmen experienced moderate pain with a percentage of 46.7%, after the intervention it decreased to mild pain with a percentage of 53.3%, and the Wilcoxon test results showed a p-value of 0.005 < 0.05, which means There is an effect of Mc Kenzie Exercise on reducing lower back pain. The conclusion of this research is that the Mc Kenzie Exercise has the effect of reducing lower back pain in batik craftsmen.

Physical fitness is explored in relation to muscle strength. Back pain is a musculoskeletal complaint that often occurs in productive young adults in today's digital era. The aim of the service activity is to increase knowledge regarding muscle strength training to prevent back pain and early detection of factors that cause back pain. The method of implementing the activity is screening for BMI, back pain, muscle endurance and education on back strengthening exercises. Educational and examination activities were carried out on Friday 10 November 2023 at 15.00-18.00 attended by 25 participants with 11 male participants and 14 female participants. The average age of service participants was 24.32 years, in the range of 20-28 years. There were 15 participants with overweight and obesity nutritional status. There were 18 participants who often experienced stiffness in their shoulders and back during activities. There were 22 participants who often experienced back pain, 14 participants had never done muscle strength training and 1 participant did exercise more than 5 times in 1 week. Health education is also carried out regarding the knowledge that there is no need to be afraid to move actively if the shoulder or back muscles are weak or tense. Participants are introduced to types of exercise as well as exercises to strengthen and stabilize the inner abdominal muscles (stomach), back and pelvis, as well as stretching exercises for the calf and hip muscles. and thighs.

Background: Hernia Nucleus Pulposus (HNP) is a condition when the pad or disc (soft gel disc or nucleus pulposus) between the vertebrae (spine) comes out of its original position or is torn and pinches the nerve behind it. Many people know it as "pinched nerve". HNP most often occurs in the cervical (neck) and lumbar (waist) vertebrae. The neck has 7 vertebrae. Cervical HNP (pinched neck nerve) most often affects the C6-C7 segment followed by the C5-6 segment because this segment is the part that moves most often and is easily affected by the degeneration process. Neck HNP most often occurs in men aged 45-55 years. Risk factors that increase the appearance of cervical HNP or pinched neck nerves include genetics, smoking, being overweight (obesity), work that often involves bending over and lifting heavy objects or operating machines with vibrating forces, and injury. Nerve mobilization in the Upper Limb Tension Test ( ULTT) is performed on branches of the Brachial plexus such as the radial nerve, median nerve and ulnar nerve. But here the author only discusses ULTT on the median nerve, namely ULTT 1 which is related to CTS. The aim is to determine physiotherapy management and the effect of Ultrasoundtherapy therapy and nerve mobilization using the ULTT 1 method in cases of Carpal Tunnel Syndrome on reducing pain and increasing the functional ability of the hand. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy clinic, RSU Sidoarjo. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.152), so there was no better treatment between the two groups. Conclusion: It is concluded that ULTT is useful in treating cervical HNP patients to reduce pain in two groups. The targeted outcomes are publications in national journals indexed by Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2.

Introduction: Low back pain is one of the most common musculoskeletal disorders in the world. In general, this pain is caused by muscle stretching and increasing age which will cause the intensity of exercise and movement to decrease. This will cause the back and abdominal muscles to become weak. Objective: In this study, to analyze the effect of warm compresses of red lemongrass (cymbopogon nardus) on reducing the scale of lower back pain in fishermen in Negeri Latuhalat, Nusaniwe District. Method: Using a one group pre test-post test design, this research design is included in the Pre-Experimental research type and the sample size is 56 fishermen using instruments in the form of SOPs and observation sheets. The analysis used is the Willcoxon test. Results: It was found that there was an effect of warm red lemongrass (Cymbopogon nardus) compresses on reducing the scale of lower back pain in fishermen (p-value = 0.000). Conclusion: There is an influence between the pain scale before and after being given a warm compress of red lemongrass (cymbopogon nardus) on reducing the scale of lower back pain in fishermen in Negeri Latuhalat, Nusaniwe District.  

Prenatal gentle yoga (yoga during pregnancy) is a type of modification of hatha yoga which is adapted to the conditions of pregnant women. Some discomforts in the third trimester in pregnant women include frequent urination 50%, vaginal discharge 15%, constipation 40%, flatulence 30%, swelling in the legs 20%, cramps in the legs 10%, headaches 20%, striae gravidarum 50%, hemorrhoids 60%, shortness of breath 60% and back pain 70%. The aim of the research was to see whether there was an effect of Prenatal Gentle Yoga on reducing complaints of lower back pain in third trimester pregnant women. The conclusion of the Wilcoxon test results shows that 0.000 < 0.05, meaning that there is an acceptable effect of prenatal gentle yoga on lower back pain in third trimester pregnant women. It is hoped that pregnant women will take part in prenatal gentle yoga classes with prenatal gentle yoga facilitators who have undergone training and received certificates so that they can apply prenatal gentle yoga which is useful for reducing maternal complaints during pregnancy, including lower back pain.    

Background: Sectio Caesarea (SC) is a birth process through surgery in the abdominal area which will cause disruption of tissue and nerve continuity, resulting in pain in the post section caesarean incision area. Efforts to reduce pain with pharmacological and non pharmacological techniques, one of the non-pharmacological techniques is distraction techniques. This distraction technique is used to divert attention to pain and reduce pain. One effective distraction technique is murottal therapy. Murottal therapy is a form of nursing care, which teaches patients to provide therapy by listening to verse from the holy Koran. Objective: This case study is to determine the development of pain before and after the implementation of Murottal Quran therapy in Mrs. A with acute pain Post Sectio Caesarea at RSUD Indramayu. Method: This case study is a descriptive method with a case study approach and uses a nursing process approach. Results: There was a decrease in the pain scale in Mrs. A post caesarean section at Indramayu Regional Hospital from the moderate pain scale category to the mild pain scale category. Conclusion: Al-Quran murottal therapy has a positive impact on patients with acute pain post Sectio caesarea.

Introduction: acute postpartum pain is caused by physiological changes that occur in postpartum mothers such as degeneration and necrosis at the placenta, the return of the uterus to its pre-pregnant condition, and changes in the vulva and vagina, in which case postpartum mothers need knowledge in providing warm compress relaxation therapy to reduce the pain felt after childbirth. Purpose: This case study is to analyze the implementation of warm compresses on Mrs. K, postpartum pregnancy serotinous patient with a nursing diagnosis of acute pain in Gincu Room 1, Indramayu Regional Hospital. Method: The method in this writing uses a case study. Data collection uses nursing care process which includes assessment, diagnosis, intervention, implementation and evaluation. As well as NRS (Numerical Rating Scale) as a pain scale instrument. Results and Discussion: before the warm compress was applied, the pain scale was 9 (0-10) with a response to complaints of pain, the patient grimaced, said he had difficulty sleeping, the patient only focused on himself and did not follow orders. After 2 days of giving the warm compress for 15 minutes, there was a change in the scale pain becomes 5 (0-10) with the response to the patient's complaint of pain, the grimace has decreased, the patient can sleep, the patient can focus and follow orders well. Conclusion: based on the implementation of warm compresses that have been carried out on Mrs. For postpartum pregnancy serotinous patients with a nursing diagnosis of acute pain in the Gincu Room 1, Indramayu Regional Hospital, the problem of acute pain in the patient can be resolved and the patient's outcome target is achieved.